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Individual

DR. MARYUM RAFIQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
100 BECKS WOODS DR STE 201, BEAR, DE 19701-3835
(855) 932-7426
Mailing address
100 BECKS WOODS DR STE 201, BEAR, DE 19701-3835
(855) 932-7426
(833) 392-7426

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS015320
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
CS0011174
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102774532-0001
PA
05
102774532-0002
PA
05
102774532-0003
PA
Enumeration date
06/02/2008
Last updated
12/08/2024
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